Date of your visit:
     

Was this your first visit?

Yes

No

If "No", how many times have you visited?
     

I was greeted warmly.

Yes

No

I could find help easily if I needed it.

Yes

No

I could worship in a way that was comfortable for me.

Yes

No

I felt like I knew what to expect throughout the service.

Yes

No

Was the message meaningful, practical and relevant to your life?

Yes

No

The music was easy to participate with.

Yes

No

I felt God's presence in the worship music.

Yes

No

Do you have children?

Yes

No

          Which program did they attend?
      Nursery
      Children's Worship

          Did you feel comfortable leaving your child with us?

Yes

No

What touched you most about our church services?

Teaching	Children's Services
Music	Hospitality

What if anything, did you like the least about the church service?

Teaching	Children's Service
Music	Hospitality

Do you plan to worship with us again?
      Yes
      No
      Undecided

If you would like the pastor or a member of our church to contact you
regarding a specific need please describe it below.(400 char.)
     

I would like to know more about:
      Accepting Christ as my Lord and Savior
      Church Membership
      Baptism
      Small Groups Involvement

Comments: (400 char.)
     

    Name:      

 Address:      

      City:      

    State:      

Zip Code:      

    Phone: